1996, 12-11 C of OPre -Final Date: /�////�-`CERTOCATE OF OCCUPANCY District:
MUT A SF. ,RF.oTTrRRMF.NTs
Permit Number:
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Occupant (if different from owner):
Building Address:3
J 3 Y/ rprd / %��12
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Architect:
Legal Description:
l y Z 8 Q L
Contractor:
Owner & Address:
P�
Plans Examiner:
Qom° �
........................................... .....('...... .�5.�1 ..................................
.... /
Building Inspector:
Occupancy Group:
C
Land Use:
Mechanical Inspector:
13
/
❑Plumbing #
Plumbing Inspector:
Construction Type:
/
Occu ant Load:
Occupied as: ��✓ f � e-
Airnr � GrYA✓ - �
Special Inspection Agency:
Additional information: / /
NREC Inspector:
4 ✓� r/ 0
c
s' 9 '4'r Z
Other:
7Z
❑Reinspection w/corrections
❑
❑Other
❑NREC final
/ Required Approvals
Items Required Complete/Date Initial
Action Required Complete/Date Initial
❑Mechanical #
❑
❑Site plan pulled for file
❑
#
❑
❑Landscape plan pulled for file
C3❑Mechanical
❑Mechanical #
❑
❑Drainage plan pulled for file
13
❑Plumbing #
❑
her plan pulled for file
/Z /d
❑ Sprinkler/ alarm #
❑
❑Final inspection w/corrections
❑
E3 Demolition #
❑
❑Reinspection w/corrections
❑
❑Other
❑NREC final
❑
❑
❑Unauthorized occupancy ❑
(Initiate compliance)
Approved for Temporary Certificate of Occupancy
Date: Reviewed by:
❑Special inspection final(s): i
Compact/Concrete/Masonry/ '.
Bolting/Welding/
❑
OHydrants/ knox box/ lane
❑
Fee:
Expiration Date:
❑ Landscaping/ irrigation
❑
Conditions
0208 drainage
❑
❑Engineer certification/208
❑
❑ Parking/paving
❑
❑ Accessibility
❑
❑Critical materials/containment
❑
A proved or ertificate of Occupancy
Date: / Revie ed
O
❑Utilities
❑
❑Fire District
❑
Conditions
❑Health District
❑
❑Fast Track Certification
❑
❑Other
Release date:
Mail to:
Copy to:
T.C.O.:
C.O.:
COMMENTS
CONSTRUCTION PLANS/ROUTING
Active File
Date
Date
Date
Field
90 Day Hold
Cnmpllance
1
of
Area Cody Number Ex"ansion
E:
T L 0 N E D
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